Organization Name: | CONSOLIDATED CARE INC |
NPI Number: | 1174781207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDELL R REMINDER (PRESIDENT) |
Mailing Address: | 1521 N Detroit St West Liberty |
State: | OH US |
Postal Code: | 433570817 |
Phone Number: | 9374658065 |
Fax Number: | 9374650442 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |